Advanced Tactical Medical Care Course

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Course Goal

The purpose of this course is to teach and train tactical personnel on life-saving interventions in both a didactic learning environment as well as realistic dynamic scenarios in order to facilitate evacuation of injured personnel.   


Course Description

This course is designed to teach non-medical personnel to respond in a tactical, or austere environment to life threatening injuries and ailments when trained medical providers are not present. In this course students will learn the principals of tactical combat casualty care as well as some advanced treatment  techniques and rescue operations. Students will be taught to manage casualties from the point of injury to evacuation to a higher level of care. Students will sit for classroom instruction, participate in  small group hands on training, and stress-based scenarios with intense realism. Students will prove their comprehension of applied knowledge and skills with both a written exam as well as  individual and team hands on trauma evaluations. At  the completion of this course the graduate will be able to perform care in accordance with TCCC (tactical combat casualty care ) guidelines and have a solid foundation and understanding of the high standard of care in which military medicine is based upon. The graduate will have proven they can provide lifesaving treatment under stressful conditions which will translate to real world  applications.


This is a 4-day Class which includes the following topics:


BLOCK 1:        M.A.R.C.H. Algorithm, Skill Stations 

MODULE 1:     History and Fundamentals of Tactical Combat Casualty Care

MODULE 2:     Massive Hemorrhage Control

MODULE 3:     Airway Management

MODULE 4:     Respiratory Management

MODULE 5:     Circulatory Management

MODULE 6:     Hypothermia & Head Injury Management


BLOCK 2:        Advanced Medical Care, Skill Stations

MODULE 1:      Prolonged Field Care

MODULE 2:      Extrication

MODULE 3:      Environmental Considerations & Injuries

MODULE 4:      Common Medical Cases in Austere Conditions & Disasters

MODULE 5:      Triage and mass casualty incidents

BLOCK 3:  Test Review, Patient Assessment Practice 


BLOCK 4:  Individual Full Mission Profile (FMP) Trauma Lanes and Team MASCAZ EVENT


Learning Outcomes

  • Become proficient in and understand the concepts of Tactical Combat Casualty Care and the M.A.R.C.H. algorithm in both written exams as well as hands on patient assessments

  • Understand and properly treat the complications associated with prolonged field care

  • Demonstrate multiple techniques in tactical and technical extrication as well as safe and appropriate patient movement techniques

  • Show competence in the care required for environmental injuries

  • Have a solid understanding of the most common medical cases in austere conditions and natural disaster zones


Learning Approach

This course uses a combination of academic presentations along with lectures by subject matter experts in the field of Tactical Combat Casualty Care and austere medicine.  There will be a final exam at the completion of the didactic training with a final opportunity to demonstrate proficiency in the knowledge gained within the course through realistic trauma scenarios requiring hands on patient assessments.  This course is not designed for students to become the primary or lead medic on the ground, rather provide medical interventions and assistance in the scenario where one is not available or needs additional professionally trained help. This course is the foundation to developing the basics in understanding and providing tactical and military medicine in support of a wide variety of operational environments.


Block 4 is a hands-on and dynamic culminating exercise where students will participate in multiple scenarios ranging from trauma to complicated medical cases to mass casualty events. This block is instructor guided but student led.  Students will be required to perform M.A.R.C.H. and patient assessments to properly evaluate, treat, and evacuate injured and sick personnel. Note:  If units have additional personnel to be used as patient models, they will be utilized in this block of training.



Current Law Enforcement, Military or respective DoD/DoS Contractors. Have a sound foundation in combat / LEO  tactics, ability to move and drag a person weighing at least 185 lbs, ability to physically perform tasks associated with combat.

Credentials will be verified.